JACQUELINE J HEAD PSYD PC
NPI 1528086055
Psychologist - Clinical in Sherwood, OR

Q: What is Jacqueline J Head Psyd PC's NPI number?

The NPI number for Jacqueline J Head Psyd PC is 1528086055. It was assigned to this organization in the NPPES registry on July 17, 2006.

Q: What is Jacqueline J Head Psyd PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since July 17, 2006

22344 SW MAIN ST, SHERWOOD, OR 97140(503) 625-2768(503) 625-3768 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jacqueline J Head Psyd Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE J HEAD PSYD PC (NPI 1528086055) is a healthcare organization registered as a clinical in Sherwood, Oregon and active in the NPI registry since July 2006. The organization lists Jacqueline Jean Head, President, as its authorized official.

NPPES Registry Identity

NPI1528086055

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameJACQUELINE J HEAD PSYD PC

Location Address22344 SW MAIN STSherwood, OR 97140-9416

Mailing Address22344 Sw Main StSherwood, OR 97140-9416 · (503) 625-2768 · Fax (503) 625-3768

Phone(503) 625-2768

Fax(503) 625-3768

Organization SubpartNo

Authorized OfficialJacqueline Jean HeadPresident · (503) 625-2768

Enumeration DateJuly 17, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1528086055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OR · 1328

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

22344 SW MAIN ST, Sherwood, OR 97140

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Other Identifiers 1

Other1639153125OR · Npi, For Ind. Provider

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline J Head Psyd Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jacqueline J Head Psyd PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jacqueline Head, PSY.D. PC

Clinical Psychologist

NPI 1639153125

22344 SW MAIN ST
Sherwood, OR 97140

(503) 625-2768

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline J Head Psyd PC's NPI number?

The NPI number for Jacqueline J Head Psyd PC is 1528086055. It was assigned to this organization in the NPPES registry on July 17, 2006.

Where is Jacqueline J Head Psyd PC located?

Jacqueline J Head Psyd PC is located at 22344 SW Main St, Sherwood, OR 97140. The listed phone number is (503) 625-2768.

What is Jacqueline J Head Psyd PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jacqueline J Head Psyd PC enrolled in Medicare?

Yes. Jacqueline J Head Psyd PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jacqueline J Head Psyd PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Jacqueline J Head Psyd PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline J Head Psyd PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.